How Can A Large Right Ovarian Simple Cyst With Normal CA 125 Be Treated?

Posted on Mon, 2 Apr 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 2 Apr 2018 Answered on

Wed, 7 Jun 2023 Last reviewed on

Question : 65 yr old female, large CA125 negative right ovarian cyst. My OBGYN is having a hard time deciding
course of action to take....laparoscopy vs hysterectomy. This was found on routine yearly exam then
ultrasound. Thoughts?

Answered by Dr. Dr. Rakhi Tayal (49 minutes later)

Brief Answer:
Laparoscopic cyst removal is a better option.

Detailed Answer:

Hello,

A large right ovarian simple cyst with normal CA 125 is less likely to be related to a malignancy. Since the uterus is normal, hysterectomy is not needed. Laparoscopic removal of the cyst is the better option followed by a biopsy which can rule out a malignancy further. Hysterectomy is a major surgery and should be done only if needed.

I hope this answers your query. Wishing you good health.

Regards,
Dr. Rakhi Tayal
OBGYN

Above answer was peer-reviewed by : Dr. Prasad